Center for Healthcare Research & Transformation

What it reported doing in 2024

All other programs: in addition to the three largest programs (promotion of health equity, washtenaw health initiative, and long-term services and supports), chrt staff worked on more than 30 additional projects for over a dozen clients, generating 1,776,048 in revenue from these activities. These diverse projects included core chrt services such as an evaluation of certified community behavioral health clinics (ccbhcs), which are designed to provide mental health and substance use services regardless of a person's ability to pay, the long-standing policy fellowship program, and implementing a bipartisan approach to health policy legislator education. The remaining portfolio covered specialized policy analysis, data analytics, and evaluation across various subject areas. Specific projects involved compiling recommendations from the substance use disorder recovery community to maximize the impact of Michigan's opioid settlement investments and analyzing the state of the science on how oral health impacts chronic conditions. Furthermore, chrt collected feedback from free clinics across the nation regarding innovative ways to prevent infectious disease spread and supported annual survey research, including the Michigan physician survey and the cover Michigan survey. The final evaluation report was completed for the three-year leadd pilot (law enforcement assisted diversion and deflection) in washtenaw county, which assessed its impact on diverting low-level offenders. The list of our projects goes on, as does the impact of our work. Chrt's 2024 findings have been shared broadly through publications, reports, and presentations. This work has inspired and informed evidence-based policy and practice changes that will improve the health of people and communities. That's what's so gratifying about the work we do together, which seeks to reduce health disparities, improve the health of communities, and extend both the length and quality of life.

Financial Efficiency

• Mission deployment rate: 89.4%; rating input score 89
• Program expense ratio: 85.1%; rating input score 85
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 2 of 6 controls in place; rating input score 33
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 8 of 8 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -5%; rating input score 17; 17th percentile among comparable filings
• Total-asset coverage ratio: 0.24; rating input score 6; 6th percentile among comparable filings
• Liabilities to assets ratio: 0.6; rating input score 22; 22nd percentile among comparable filings
• Officer compensation ratio: 9.2%; rating input score 23; 23rd percentile among comparable filings

Growth

• Program expense growth: 23.6% per year; rating input score 100; 92nd percentile among comparable filings
• Revenue growth: 21.4% per year; rating input score 100; 93rd percentile among comparable filings
• Asset growth: 4.5% per year; rating input score 100; 32nd percentile among comparable filings